Kratom Rehab in Orange County
at Able to Change Recovery
Medically Reviewed by
Dr. Randall Turner, DO
Medical Director
What We Treat
Key points
Kratom, a tropical tree native to Southeast Asia, has gained popularity in recent years as an herbal supplement. However, its use can lead to addiction, with sometimes devastating consequences.
While research on kratom addiction is still emerging, treatment approaches often mirror those used for opioid addiction. Able to Change Recovery offers comprehensive support for individuals struggling with kratom dependency, covering a wide range of substance use disorders treated in a structured recovery setting, and utilizing a combination of therapy, education, and community resources to promote lasting recovery.
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What is Kratom?
Kratom is a tropical tree native to Southeast Asia, specifically Thailand, Malaysia, and Indonesia.[1] Its scientific name is Mitragyna speciosa, and it belongs to the coffee family. The leaves of the kratom tree have been used for centuries in traditional medicine practices in its native regions, primarily for their stimulant and pain-relieving properties.
The active compounds in kratom leaves are alkaloids, which interact with opioid receptors in the brain.[2] At low doses, kratom typically acts as a stimulant, potentially increasing energy, alertness, and sociability. At higher doses, it may have sedative and pain-relieving effects similar to other opioids.
Kratom has gained popularity in recent years and is often consumed as a powder, capsule, or tea. Proponents claim it can help with pain management, anxiety, depression, and opioid withdrawal symptoms.
However, its use remains controversial due to concerns about its safety, potential for severe withdrawal symptoms and addiction, and lack of regulation. Some countries have banned or restricted kratom, while others are actively debating its legal status.
New Federal Restrictions on Concentrated 7-OH Products
As the popularity of kratom has grown, manufacturers have introduced highly concentrated products containing elevated levels of 7-hydroxymitragynine (7-OH), one of the primary alkaloids naturally found in the kratom plant. While traditional botanical kratom leaf contains only trace amounts of naturally occurring 7-OH, these newer products are often manufactured to contain significantly higher concentrations, resulting in much stronger opioid-like effects and a greater potential for addiction.
Because of the increasing availability of these concentrated products and growing concerns about misuse, the U.S. Drug Enforcement Administration (DEA) has announced a temporary rule to place concentrated or synthetic 7-OH products and several related substances into Schedule I of the Controlled Substances Act. The rule may take effect on or after August 5, 2026.
It is important to understand that this federal action does not currently apply to all kratom products. Traditional botanical kratom containing only naturally occurring trace levels of 7-OH is excluded from the DEA’s temporary scheduling action. Instead, the rule primarily targets concentrated products such as tablets, gummies, shots, powders, extracts, and dissolvable strips that contain elevated levels of 7-OH.
For individuals using these products regularly, the scheduling change may lead to sudden loss of access, withdrawal symptoms, or increased risk of seeking other opioids or unregulated substances. If you or someone you love has become dependent on concentrated 7-OH products, professional addiction treatment can provide safe detoxification and ongoing support for lasting recovery.
Kratom Addiction and Abuse
Kratom has the potential for addiction and abuse due to its opioid-like effects and its impact on the brain’s reward system.[3] The primary alkaloids in kratom, mitragynine and 7-hydroxymitragynine, interact with opioid receptors, which can lead to physical dependence and psychological addiction over time.
Kratom addiction affects the body similarly to opioid addiction. Regular use can lead to changes in brain chemistry, particularly in the areas responsible for mood regulation and reward. These alterations can result in kratom withdrawal symptoms when usage is reduced or stopped, including muscle aches, irritability, aggression, emotional changes, runny nose, and jerky movements.
The prevalence of kratom addiction is not as well-documented as that of other substances, partly due to its relatively recent popularity in Western countries and limited long-term studies. However, reports of kratom dependence have increased in recent years. An estimated 1.7 million Americans used kratom in 2021, with an unknown number of these users developing problematic use.[4]
In recent years, addiction specialists have also seen increased concerns surrounding concentrated 7-OH products, which often contain much higher levels of 7-hydroxymitragynine than are naturally found in botanical kratom. Because these products can produce more potent opioid-like effects, they may carry a greater risk of dependence, tolerance, and withdrawal than traditional kratom products.
Anyone experiencing signs of 7-OH dependence, including needing increasingly larger doses, unsuccessful attempts to quit, withdrawal symptoms between doses, or continued use despite negative consequences, should seek professional evaluation. Medical detox and comprehensive addiction treatment can help manage withdrawal safely while addressing the underlying causes of substance use through evidence-based therapies, counseling, relapse prevention planning, and ongoing recovery support; you can explore our drug and alcohol rehab programs to find the right level of care.
Kratom Quick Reference Chart
Drug Category
Stimulant
Commercial
& Street Names
Biak, kakuam, ketum, thang, thom
DEA Schedule
DEA temporary Schedule I action
Administration
Orally ingested
Kratom Laws and the New DEA 7-OH Scheduling
Kratom laws continue to vary across the United States and around the world. While some states have banned kratom or specific kratom alkaloids, others regulate its sale through age restrictions, labeling requirements, or consumer protection laws. Even where kratom remains legal at the state level, local governments may impose additional restrictions.
Current Federal Status
Traditional botanical kratom is not currently scheduled under the federal Controlled Substances Act. Natural kratom leaf products containing only naturally occurring levels of mitragynine and 7-hydroxymitragynine remain legal under federal law, although the U.S. Food and Drug Administration continues to warn consumers about potential safety concerns.
DEA Action on Concentrated 7-OH Products
The federal landscape is changing for highly concentrated 7-OH products. The DEA has announced a temporary rule to classify concentrated or synthetic 7-hydroxymitragynine products and several related substances as Schedule I controlled substances, with the rule expected to take effect on or after August 5, 2026.
This action is directed primarily at manufactured products containing elevated concentrations of 7-OH, including tablets, gummies, drink shots, powders, extracts, and dissolvable strips. It does not currently apply to traditional botanical kratom products containing only naturally occurring trace amounts of 7-OH.
What Schedule I Means
A Schedule I classification places a substance among those considered to have a high potential for abuse under federal law. If the DEA’s temporary rule takes effect, the manufacture, distribution, and sale of covered concentrated 7-OH products will generally become illegal under federal law except in very limited research settings. Individuals who currently use these products should stay informed about changes to both federal and state laws.
International Restrictions
Internationally, kratom’s legal status also varies considerably. It is illegal in several countries, including Australia, Japan, Russia, and many European nations. Thailand legalized kratom in 2021 after decades of prohibition, while neighboring Malaysia continues to prohibit its use. Other countries regulate kratom as a controlled substance or restrict its sale through licensing requirements.
What Treatments Are Available for Kratom Addiction?
Treating kratom addiction, like other substance use disorders, can significantly impact an individual’s physical health, mental well-being, and overall quality of life. As awareness of kratom’s potential for addiction grows, so does the need for effective treatment options. Fortunately, various evidence-based approaches are available to help individuals overcome kratom addiction (and co-occurring mental health disorders) to achieve lasting recovery – and Able to Change Recovery is a leading provider of comprehensive addiction treatment services for Orange County, offering a range of modalities to address kratom addiction:
- 12-Step Facilitation Therapy: Introduces individuals to the principles of 12-step programs, supporting engagement with peer support groups for ongoing kratom addiction and substance abuse recovery.
- Cognitive Behavioral Therapy (CBT): Focuses on identifying and modifying negative thought patterns and behaviors associated with kratom use and developing coping strategies to prevent relapse.
- Contingency Management: Employs positive reinforcement techniques to encourage kratom abstinence, often using tangible rewards to motivate continued recovery efforts.
- Dialectical Behavior Therapy (DBT): Combines cognitive and behavioral therapies with unique relational interventions to enhance emotional regulation and interpersonal effectiveness in managing kratom addiction and drug dependence.
- Family Therapy: Involves family members in the treatment process to improve communication, address relationship dynamics, and create a supportive environment for kratom recovery.
- Group Therapy: Provides peer support and shared experiences in overcoming kratom addiction, fostering a sense of community and mutual understanding.
- Holistic Therapy: Incorporates alternative approaches such as yoga, meditation, or acupuncture to address the physical, mental, and spiritual aspects of kratom addiction recovery.
- Individual Therapy: Offers one-on-one sessions to explore personal issues related to kratom use, tailoring treatment to the individual’s specific needs and circumstances.
- Mindfulness-Based Therapies: Teaches present-moment awareness techniques to manage kratom cravings and reduce stress, promoting overall well-being in recovery.
- Motivational Interviewing: Enhances an individual’s motivation to change kratom use behaviors through collaborative, goal-oriented conversations.
- Trauma-Informed Care: Recognizes the impact of trauma on kratom addiction and recovery, providing sensitive and appropriate care that avoids re-traumatization.
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Frequently Asked Questions About Kratom Rehab in Orange County
Yes, it is possible to develop an addiction to kratom, particularly with prolonged use or high doses. Kratom contains alkaloids that can interact with opioid receptors in the brain, producing effects similar to those of opioids. While many users report that kratom can help with pain relief or anxiety, the risk of developing a dependency should not be underestimated. If someone begins to rely on kratom to manage daily activities or emotional states, it may indicate a problematic pattern of use.
The timeline for developing an addiction from using kratom can vary widely. Some users may become dependent within a few weeks of regular use, while others may take months. Factors such as dosage, frequency of use, individual body chemistry, and personal history with substances can all influence how quickly someone might develop an addiction. It’s crucial to approach kratom with caution and to monitor your use to minimize the risk of addiction.
Signs of kratom addiction can include increased tolerance, where higher doses are needed to achieve the same effects, and withdrawal symptoms when not using the substance. Other signs may involve neglecting responsibilities or relationships in favor of kratom use, preoccupation with obtaining it, and using it despite adverse consequences. If you notice these kratom addiction signs in yourself or someone else, it’s important to seek help or consider reducing usage to prevent further issues.
Long-term kratom use raises several concerns, including the potential for developing addiction (as well as kratom withdrawal and kratom withdrawal symptoms). Regular users may also experience negative side effects such as gastrointestinal issues, changes in mood, or cognitive impairments. Given the varying effects on different individuals, what might be safe for one person could lead to dependency for another. Seek medical attention immediately if you or someone you love is experiencing issues.
[1] Kratom. (2022, March 25). National Institute on Drug Abuse. https://nida.nih.gov/research-topics/kratom on September 23, 2024
[2] Hanapi, N. A., Chear, N. J.-Y., Azizi, J., & Yusof, S. R. (2021). Kratom Alkaloids: Interactions With Enzymes, Receptors, and Cellular Barriers. Frontiers in Pharmacology, 12. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8637859/ on September 23, 2024
[3] Kratom: Unsafe and ineffective. (2024). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/prescription-drug-abuse/in-depth/kratom/art-20402171 on September 23, 2024
[4] Office of the Commissioner. (2019). FDA and Kratom. U.S. Food and Drug Administration. https://www.fda.gov/news-events/public-health-focus/fda-and-kratom on September 23, 2024
[5] Kratom Regulation: Federal status and state approaches. (n.d.). https://crsreports.congress.gov/product/pdf/LSB/LSB11082 on September 23, 2024